爱婴医院院内外影响母乳喂养的多因素分析

Manifold factors influencing breast-feeding in and out of baby-friendly

目的 分析影响母乳喂养的因素 ,以提高母乳喂养率。方法 设计调查表对广州市 13 2 0例 4个月婴儿的母乳喂养情况进行调查 ,并对影响纯母乳喂养率的因素进行回归分析。结果 4个月内纯母乳喂养率为 5 6 5 % ,人工喂养率为 7 3 % ,混合喂养率为 3 6 2 %。爱婴医院院内影响母乳喂养的主要因素有 :母亲的年龄、职业、分娩方式、母婴同室、家庭经济水平、母乳喂养知识水平及母乳喂养态度等。采用多元回归分析的方法 ,筛选出影响纯母乳喂养持续行为的 5个因素 ,其强度依次为 :母乳量 ,母乳喂养咨询门诊 ,母亲患病 ,家庭经济收入 ,母乳喂养信念。结论 产妇出院后纯母乳喂养率逐月下降。提示我们应将妇幼保健服务从院内扩大到院外 ,采取有效的健康教育和干预措施 ,提高纯母乳喂养率。

Objective Analyzing the influential factors of breast-feeding,to arise the rate of breast-feeding.Methods By surveying the breast-feeding condition of 1320 babies of four months in Guangzhou and analyzing the influential factors of breast-feeding.Results The thesis provides the following numbers:56 3% of the samples are breast-fed purely,7 3% are fed on artificial substitutes and 36 2% are on a mixed diet.The main factors which have influence on breast-feeding in baby-friendly are:the age of mother,the occupation,the pattern of parturition,the baby sleeping with its mother,the economic level of family,the knowledge of breast-feeding and the attitude to the feeding style,etc.Conclusion The rate of pure breast-feeding declines month by month after puerperants leave hospital.Adopting the multi-variable analysis,the thesis screens and selects five factors that influence the continuance of pure breast-feeding (in order of strength):the quantity of milk from breast of mother,breast-feeding consulting outpatient service,disease of mother,income of family and conviction of breast-feeding.